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20130209
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coverage without facing the new tax penalties imposed by the affordable care act. [applause] the federal law allows us to shift mental health and other state spending to medicaid sources, saving the general fund nearly $25 million over the biennium. over the next six years, this comprehensive approach will create up to 8,000 new health care jobs and inject over a half billion dollars into our state's economy. and, as i've noted before, we must reduce taxes on businesses to help them bear the increased costs of the affordable care act. but the issue of long-term health care costs remain. as such, i believe we must ask certain medicaid patients to make a modest contribution toward the cost of their own care, and i will insist that nevada be able to opt out of the medicaid expansion program in future years should circumstances change. [applause] beyond medicaid my budget provides additional funding for our state's most vulnerable citizens. it includes more support for autism and early intervention services, piloting 24/7 mental health can care in southern nevada and increased community-base
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